HomeMy WebLinkAboutLat_13953GreenMountainDriveWASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY. MD.AN%, •�►
Project:"-C,Zq WNZerL Gat•-e"a /
Street (or location): 6accw
Contractor: CAAaLr.s V-1faxee
SANITARY SEWER LATERAI
CONSTRUCTION REPORT
M H 261 TO MH `—
Date Installed S�^� z?, ��gkgb Wye Sta. On Main N 1A
Lo -r l t
WYE
SIZE-
TYPE PIPE
TYPE
CO.
DEPTH
CO.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTH
ST 'D.
Horiz. Total
-7 '
6S '
NOTES:
I
DROP
Slope + H . = Total
Depth of Cleanout 6 T at Flow Line
Cleanout bZFrom -F,�
Layed at z
Basement Service
MH 426b
U
M H # Q(,I
Amounts pertaining to work completed this period, reviewed and a roved.
BY RJa
WCSD INSPECTOR CONTR CTO S REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
S-2
WASHINGTON COUNTY MAY 1 4 ase
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795 j!��-��%yyy ^ J
(301) 791-3083 � `
01
Permit to Connect to Public Water/Sewer System
Type of Permit
Subdistrict Name _
Mainline Contract No.
Building Permit No.
Permission is hereby given to:
Property Owner:
of address:
For property located at:
Lot No.
Owner's Agent: _
Agent's Address:
Previous Owner:
Fees Paid in Full?
Date Fees Paid
WCWSD Alloc./Conn.
WCWSD/Other
City of Hagerstown_
Remarks
Subd
Fee $
Fee $
Fee $
Fee $
Total Fee $
Permit No. _
Issue Date _
Void Date
Subdistrict No.
Phase
Lateral with Mainline?
Residential EDLI's
Commercial EDLI's _
Gal/Day Allocation _
Building Number _
Misc. Number
_Street Address
Sec.
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system shall
conform with the provisions of Maryland State laws and County policy.
This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS,
STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THEREWITH RE-
MAINS WITH THE PROPERTY OWNER.
Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by:
Washington County Plumbing Boar
100 W. Washington Street, Room 3
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
Inspection Date: —/7 c 0i Plumbing Inspector: